Toggle Main Menu Toggle Search

Open Access padlockePrints

Barriers and enablers to engagement with a type 2 diabetes remission project in the North East of England: Qualitative perspectives of patients

Lookup NU author(s): Dr Anna Haste

Downloads


Licence

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© The Author(s), 2024.This qualitative research sought to identify factors influencing patient choice of, and patient-related internal and external enablers and barriers to engagement with, type 2 diabetes (T2D) remission strategies offered by the Remission in diabetes (REMI.D) project. Patients had a choice of three diets: Total Diet Replacement (TDR)-Formula Food Products, TDR-Food, and Healthy lifestyle approach; and three activity pathways: Everyday life, General Practitioner referral, and Social hub. Semi-structured interviews were recorded and transcribed. Thematic analysis used the Framework Method and NVivo 12 to assist with generation and organisation of codes, inductive and deductive (Theoretical Domains Framework). The REMI.D project was a place-based approach (place in this case being defined as two local authorities with significant rates of deprivation) situated in the North East of England. Twenty patients out of a possible 65 patients took part. Areas of interest included: patient choice, patient intention, patient adherence, patient non-Adherence, and patient stigma. Addition of a more moderate dietary strategy (not dissimilar to the diet in the Healthier You NHS Diabetes Prevention Programme) to the existing NHS England T2D Path to Remission programme may enable more patients to achieve remission or delayed progression with deprescribing of diabetes medications. Embedding a tailored physical activity path within or as a bolt-on to the NHS programme requires consideration. Limited resources should be targeted towards patients who identify with more barriers or fewer opportunities for health behaviour modification. Further research on use of virtual programmes in deprived areas is warranted.


Publication metadata

Author(s): Boocock RC, Haste A, Moore HJ, Lake AA

Publication type: Article

Publication status: Published

Journal: Journal of Nutritional Science

Year: 2024

Volume: 13

Pages: 1-11

Online publication date: 05/08/2024

Acceptance date: 29/03/2024

Date deposited: 02/09/2024

ISSN (electronic): 2048-6790

Publisher: Cambridge University Press

URL: https://doi.org/10.1017/jns.2024.30

DOI: 10.1017/jns.2024.30


Altmetrics

Altmetrics provided by Altmetric


Funding

Funder referenceFunder name
Teesside University

Share